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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANJU NELLISSERY, DMD, MD

Active

DR. ANJU NELLISSERY, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in CHICOPEE, Massachusetts. NPI 1629598123 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · CHICOPEE, MA

Registration Details

NPI Number
1629598123
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2017 (9.0962871260377 yrs)
Last Updated
Jan 3, 2026
License
DN1859832 (MA)

Practice Information

Address
1066 GRANBY RD
CHICOPEE, MA, 010201539
Browse MA providers · Browse ZIP 01020
Phone
4135344400
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.